| NPI | 1750649117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056646-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03478700) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-07-20 |